Texas Health and Human Services

The TX HHS Form 1035, PASRR Consent for Use of Audio-Only and Audio-Visual Communication, is a crucial document that helps solve the problem of facilitating communication between healthcare professionals and individuals receiving specialized services. This form is typically used in situations where in-person visits are not feasible or practical, such as during preadmission screening and resident review (PASRR) assessments.

The TX HHS Form 1038, Consent for the Use of Audio-Only or Audio-Visual Communication, is a crucial document that facilitates communication between individuals with intellectual and developmental disabilities (LIDDA) and their service coordinators. This form helps solve the problem of ensuring that LIDDA clients provide consent for audio-only or audio-visual communication during service coordination visits.

The TX HHS Form 1040 CFC Non-Waiver Packet Information and Checklist is a crucial document that helps solve the problem of determining intellectual disability or related condition for Community First Choice (CFC) services. This form is typically used in situations where an individual requires CFC services, which are managed by a Managed Care Organization (MCO). The person responsible for filling out this form is usually the Legally Authorized Representative (LAR) or the individual themselves.

The TX HHS Form 1041, Refusal of PASRR Mental Illness Specialized Services, is a crucial document for individuals who have been admitted to a nursing facility and are in need of mental illness specialized services. This form helps solve the problem of ensuring that individuals receive the necessary support and services to improve their quality of life and community participation.

The TX HHS Form 3031, Children with Special Health Care Needs (CSHCN) Program Application, is a crucial document for individuals seeking assistance from the Texas Health and Human Services (HHS) CSHCN program. This form helps families access essential healthcare services and support for their children with special needs.

The TX HHS Form 3032, Hemophilia Assistance Program Physical Assessment, is a crucial document that helps facilitate the application process for individuals with hemophilia. This form is typically completed by the applicant's Texas licensed physician to provide medical information and verify the accuracy of the application.

The TX HHS Form 3033, Hemophilia Assistance Program (HAP) Application, is a crucial document for individuals seeking assistance with hemophilia-related expenses. This application helps solve the problem of accessing financial support for medical treatment and supplies, providing relief to those affected by this chronic condition.

Form 3015 is the official Texas application used to request a Child Care Administrator License or a Child-Placing Agency Administrator License. It is filed with Texas Health and Human Services (HHS) and reviewed by Child Care Regulation (CCR). This form applies to individuals seeking authorization to manage or oversee licensed child care operations or child-placing agencies in Texas.

Form 2982, titled Personal History Statement, is a required document used by Texas Child Care Regulation (CCR) as part of the licensing process for child care and certain residential care operations. This form helps the state evaluate whether individuals responsible for operating or managing a child care program meet legal, professional, and safety standards.

The GRO Medication Log (Form 2993) is a mandatory record used in Texas residential childcare operations to track every prescription, nonprescription medication, and supplement administered to a child. This form helps ensure accurate documentation, consistency of care, and compliance with state childcare regulations. It also protects both the child and the caregivers by creating a clear, time-stamped history of medication activity.